Nodular goiter mutsara unobatanidza zvirwere zvakawanda, unhu hunofanirwa huripo kuvepo kwemazamu akawedzerwa (node) muhutachiona hwetachiona. A goiter inogona kuva imwe node kana nhamba-zhinji.
Multinodular goiter - zvinokonzera uye zvidimbu zvezvirwere
Chikonzero chinonyanya kukosha chekuenderera mberi kweve goin-goiter kusakosha kweIodine mumuviri kwenguva refu. Kushayikwa kweIodine kunogona kusanganiswa nekudya kwakakwana kwechikamu ichi mumuviri, uye nekuputsa kwekugadzirisa kwayo. Zvimwe zvinhu zvinowedzera njodzi yezvirwere zviitiko ndeizvi:
- anemia;
- zvirwere zvisingaperi zvepamuviri;
- kuora mwoyo kwehutano hwemuviri;
- pamuviri.
Pamusoro pekushaiwa kweiodini, chinokonzerwa ne-multinodular goiter chinogona kushandiswa seyroid adenoma, zvinokonzera mishonga inopisa, autoimmune nezvimwe zvirwere zvinopisa.
Maererano nehuwandu hwekuwedzera kwehutachiona hwetachiona, zvikamu zvitatu zvechirwere zvakasiyana:
- Multinodular goiter 0 degrees - node idzi shomanana, dzinooneka zvisingaoneki uye dzisingabvumiri. Zvinogona kuonekwa chete neipi, ne ultrasound kuongororwa.
- Multinodular goiter yediresi yekutanga - node dzinooneka zvisingaoneki, asi dzakaputika.
- Multinodular goiter ye 2 digrii - kuwedzera kwetachiona gland kunoonekwa kune ziso rakashama.
Paunenge uchiita ultrasound, goiter yakawanda ye-goiter yegorosi yekutanga inowanikwa muhutori hwehutori pasi pe30 cm3 sup3, 2 degrees - ine simba remuviri rinopfuura 30 cm3 sup3.
Pamusoro pemasikati, goiter dzakawanda dzakaparadzaniswa kuva mhando mbiri: kwete-chepfu uye chepfu (yakaonekwa nekuwedzera utachiona hwekutengesa hormone).
Zviratidzo zvemaitiro akawanda evanhu vanoita zvetroroid
Zviratidzo zvebhuku rinowanzosiyana siyana zvichienderana nechinokonzera chikonzero chacho, asi muzvikamu zvekutanga zvechirwere mu 80% yematambudziko, hapana chirwere chinoratidzika.
Mune ramangwana, zvisimbiso muhutano hwetachiona zvinogona kugadziriswa uye zvinoratidzika sechimiro chekuchengetedza nzvimbo pahuro. Mune nzira yekuvandudza goiter, inogona kupfuurira pedyo nemasukisi uye inokonzera:
- manzwiro ekupikisa, coma mumutsipa;
- kunetseka kufema;
- chizoro;
- kushungurudzika kana uchifamba musoro.
Mune utachiona hwechirwere, pane:
- tachycardia;
- kurasikirwa nekusimba kwakanaka;
- kutsamwa;
- simuka pakupisa.
Kana kukurudzirwa kwevanhu vakawanda kunokonzerwa nekushaiwa iodine, zviratidzo zvinogona kuwedzerwa:
- kuderedza kupesana;
- flatulence ;
- kuora kwekuzvidzivirira;
- kazhinji zvirwere zvokufema.